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Health & Medicine as Social Sciences: Creating Healthy Communities
Community Medicine and Public Health
This page explores aspects of medicine not focused on the individual, rather the impacts of health on our community. Community health can be impacted by many outside factors which can in turn affect individual health. Discover more about this relationship below.
Social determinants of Health
- Social Determinants of HealthHealthy People 2030, U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. Retrieved from https://health.gov/healthypeople/objectives-and-data/social-determinants-health
U.S. Health Care Information
- Health Insurance CoverageStatistics for the U.S. on Private Insurance, Public Insurance, and Uninsured individuals.
- Health Care Access and Utilization Among Adults 18-64, by Poverty Level: United States, 2013-2015Key findings from the National Health Interview Survey, 2013-2015.
- Healthy People 2030A list of Health Care goals from the U.S. Department of Health and Human Services focused on improving health care quality and ensuring all individuals are able to receive the care they need.
Books
- The Health Gap byISBN: 9781632860798Publication Date: 2015-11-03Dramatic differences in health are not a simple matter of rich and poor; poverty alone doesn't drive ill health, but inequality does. Indeed, suicide, heart disease, lung disease, obesity, and diabetes, for example, are all linked to social disadvantage. In every country, people at relative social disadvantage suffer health disadvantage and shorter lives. Within countries, the higher the social status of individuals, the better their health. These health inequalities defy the usual explanations. Conventional approaches to improving health have emphasized access to technical solutions and changes in the behavior of individuals, but these methods only go so far. What really makes a difference is creating the conditions for people to have control over their lives, to have the power to live as they want. Empowerment is the key to reducing health inequality and thereby improving the health of everyone.
Monetary conflicts of interest
Conflicts of Interest occur in every field, including Healthcare. Below are examples of conflict's that occur with Physicians and can influence the level of care that is being delivered to patients.
- The "fee-for-service" model is used by a vast number of U.S. Physicians and can lead to the selection of more profitable treatments and procedures for patients compared to less profitable ones in addition to increasingly frequent use of the more profitable options.
- Increased referrals to specialists or for procedures is seen when a Physician is able to refer a patient to their own lab or a third party company they are associated with. It is difficult to analyze such practices to see if this increase is actually beneficial for patients.
- Unnecessary and more advanced procedures can have non-monetary costs or negative impacts for patients. Most medical procedures have risks associated with them and waiting for results can cause unneeded stress for the patient and their family.
It can be difficult for Physicians to acknowledge that their business model could be negatively impacting their own patient care decisions. A possible solution to these conflicts of interest that reduces the focus on the business side of medicine is implementing a salary payment style for Physicians as opposed to a 'fee-for-service" style. This could decrease any indirect focus on volume of service business model and monetary reward associated with it, which has the likelihood of leading to better patient care.
Information paraphrased from Source 1.
The cost of healthcare
- Last Updated: Aug 30, 2024 10:34 AM
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